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MSK basics > ankle 4 - test and measures > Flashcards

ankle 4 - test and measures Flashcards

1
Q

what is the FAAM

A

a self-report outcome instrument developed to assess physical function for individuals with foot and ankle related impairments

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2
Q

what is the onset like for sprains and fractures

A

sudden traumatic onset

high velocity of ankle displacement

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3
Q

what is the onset like for overuse injuries

A

slow gradual onset

associated with rep activity

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4
Q

functional limitation for sparin and fractures

A

WB

gait

and possiblity of lateral involvement

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5
Q

what are the funtional limitations for overuse syndromes

A

generally limited after a certain amount of activity

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6
Q

what is a order of an ankle examination

A

ROM
strength
palpation
special tests
gait

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7
Q

what can we look at statically when observing the ankle

A

foot - arch, forefoot, rearfoot, pronation, supination

tibia - IR, ER, varus or valgus

femur - IR or ER

pelvis - asym landmarks

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8
Q

what can we notice with someones gait

A

pronation

supination

step length

heel strike

DF/PF

dynamic knee valgus

femoral motion

pelvic control

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9
Q

pronation - flexible or stiff

A

flexible

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10
Q

supination - flex or stiff

A

stiff

seen during toe off

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11
Q

what is the anterior drawer test for

A

anterior stability

lateral or medial ligament testing

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12
Q

what is the talar tilt test for

A

medial or lateral ligament

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13
Q

what is the ER test for

A

distal tib fib joint

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14
Q

what is the impingement test for

A

sinus tarsi sundrome

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15
Q

what is the thompson test for

A

achilles tendon rupture

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16
Q

what is the compression test for

A

high ankle sprain

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17
Q

what is the procedure for the anterior drawer test

A

pt is sitting or supine

stablize the distal leg anteriorly

grasp the distal foot (calacaneus) in the OPP of the ankle and mobilze forawrd

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18
Q

what is the anterior draw test for

A

testing for ligamentous laxity

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19
Q

which ligament is most tested with the anterior drawer test

A

Anterior Talo-Fibular Ligament

20
Q

what is a positive ant drawer test

A

the talus sublexes or translates anteriorly

21
Q

what impairment are used to test with the anterior drawer

A

eversion sprain

inversion sprain

22
Q

what is a test for the lateral lig of the ankle

A

inversion sprain

the talar tilt test - also used for eversion sprains

23
Q

what is the procedure for the talar tilt test

A

pt is sitting or supine

distal leg is stablized and the ankle is inverted - quickly

24
Q

what is a positive talar tilt test

A

pain and laxity

25
Q

what is the grading of the laxity seen in the talar tilt test

A

0 - no laxity

3- lot of laxity

26
Q

what is the impigment test for

A

sinus tarsi syndrome

27
Q

what is the procedure for sinus tarsi syndrome

A

hands- calcaneus in one hand, forefoot in the other hand

bring the foot into PF

place thumb into the sinus tarsi

maintain this pressure and bring the foot into PF and Df

28
Q

what is a positive impigment test

A

pain provoked from pressure of the thumb

greater in DF the PF

29
Q

what is an another name for syndesmotic injuries

A

high ankle sprain

30
Q

what is a the test for high ankle sprains

A

external rotation test

compression test

31
Q

what is the procedure for the ER test

A

pt seated or supine

stabilize the leg

PT maintains DF and ER of the foot

32
Q

what is a postive ER test

A

pain in the area of the syndesomis - ant or post

over the interosseus

33
Q

what is the compression test procedure

A

compress and release the tib and fib together until mid way up the calf

34
Q

do we start low or high for the compression test

A

low

high - provoke more seperation and therefore more pain

35
Q

what is the test for an achilles injury

A

the calf squeeze test/thompson test

36
Q

what is the purpose of the thompson/calf squeeze test

A

to detect a achilles rupture

37
Q

what is the procedure for the calf squeeze test

A

the patient is prone and gently squeeze the calf

38
Q

what are we looking for with the calf squeeze test, what is a positive test

A

normal - the foot PF with the squeeze

positive: min PF relative to the other side

39
Q

how do we get to subtalar neutral

A

the position where the subtalar, talonvicular, and the calcanealcuboid are congruous

centering the navicular on the talus

the dome are neutral

40
Q

for achilles tendionpathy what do we palpate

A

mid portion

intertion point

lateral and deep to the tendon to get to the fat pad

41
Q

what are we looking for with palpation and achilles tendionpathy

A

recreation of patient pain at the midportion or the insertion of the tendon

42
Q

what is the royal london hospital test procedure

A

pt prone with the foot off of the table

Pinch along the tendon to find most palpable location

Release pressure on tendon and have pt actively dorsiflex

Pinch same location with foot in dorsiflexion

43
Q

what is a positive test for the royal london

A

Reduced pain with foot dorsiflexed

44
Q

what is the procedure for arc sign

A

prone with the foot off of the table

lightly pinch the tendon looking for any nodules in the tendon - bumps

have the patient activily PF and DF

45
Q

what is a postive test for arc sign

A

Nodule moves out from between fingers

MSK basics (20 decks)

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